Individual
CHARLES D JANTZI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY D
Contact information
Practice address
283 S BUTLER ROAD, MT GRETNA, PA 17064-0550
(800) 932-0359
Mailing address
283 S BUTLER ROAD, MT GRETNA, PA 17064-0550
(800) 932-0359
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS008411L
PA
Other
Enumeration date
10/23/2006
Last updated
07/08/2007
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